Correcting Post Orthognathic Surgery Contour Imbalances And Irregularities

Le Fort I osteotomy with advancement and sagittal split osteotomy of the mandible may be performed alone or in combination to correct occlusal disharmony and to improve appearance. Sliding genioplasty is often performed alone or in combination with sagittal split osteotomy. These procedures may leave certain patients with characteristic contour irregularities. These deformities can be corrected with strategically placed implants and soft tissue manipulations. Computer design implants are particularly useful to correct post-orthognathic imbalances and irregularities.

Click here to see an artist’s rendition of this surgery.

This patient who had a Le Fort I advancement, sagittal split osteotomy, and sliding genioplasty resulting in contour imbalance and irregularities. Surgical correction was accomplished  infraorbital rim, posterior mandible and chin implants, as well as  midface and chin soft tissue resuspensions.

This patient had a sagittal split osteotomy and sliding genioplasty resulting in contour imbalance and irregularities. The surgical correction was accomplished with strategically placed posterior mandible and chin implants as well as resuspension of the chin soft tissues.

This patient had undergone sagittal split osteotomy and sliding genioplasty. He was left with significant deficiencies and asymmetry.

This top row of img shows a 3-D CT image of his mandible after the orthognathic surgery and his mandible.

This bottom row of img shows a 3-D CT image of his mandible with the custom designed implants and the result of custom implant surgery.

This patient underwent custom implant reconstruction of her mandible to correct irregularities and deficiencies of her mandible. To see a video of her surgery, click here.